Inside Dentistry March 2010 : Page 50
QUIZ Log on to www.insidedentistryCE.com to take this FREE CE quiz. Caries Risk Assessment for Children ByAna Lucia Seminario, DDS,PhD | Joel Berg, DDS,MS AEGIS Publications, LLC, provides 2 hours of FREE Continuing Education credit for this article for those who wish to document their continuing education eff orts. To participate in this CE lesson, please log on to www. insidedentistryCE.com, where you may further review this lesson and test online. Log on now, take the CE quiz and, upon successful completion, print your certifi cate immediately! For more information, please call 877-4-AEGIS-1. 1 Children 3 years of age with early childhood caries have been found to weigh about how much less than treated children? A. 1 kg B. 2 kg C. 3 kg D. 4 kg 2 Infants in a low socioeconomic status, whose mothers have a low education level, and who consume sugary foods are how many more times more likely to have caries at the age of 3 years than children without those risk factors? A. 3 B. 10 C. 14 D. 32 3 The biofi lm is characterized by continued microbial activity resulting in continued metabolic events in the form of: A. minute pH fl uctuations. B. consistent pH levels below 2. C. consistent pH levels above 11. D. microbiologic resistant mutations. 4 What is the single best predictor of dental disease at 36 months of age? A. maternal caries level B. paternal caries level C. the presence of enamel defects D. presence of anaerobic spirochetes in the biofi lm 5 Sucrose is not only the main source of energy for cariogenic bacteria but also a key element in: A. the synthesis of RANK-L ligand. B. the synthesis of extracellular glucans. C. osteoclastic recruiting factor. D. biofi lm scaff old architecture. AEGIS Publications, LLC, is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto/cerp. 10 9 7 6 Which of the following is/are associated with early childhood caries? A. frequent breastfeeding. B. continuous bottle-feeding at night. C. unlimited and constant use of a no-spill training cup. D. all of the above An estimated 80% of decay is found in what percent of children? A. 5% B. 25% C. 50% D. 80% 8 A more recent version of the AAPD CAT divides risk categories into: A. child history (obtained via parental report). B. clinical evaluation. C. supplemental professional assessment. D. all of the above CAMBRA (0-5 years), identifi es risk and protective factors through: A. salivary secretion collection. B. bacterial culturing. C. inter- and intrafamilial statistical analysis. D. a parent interview and clinical examination. What aims to illustrate the interaction between caries-related factors and the probability of developing new caries lesions? A. CAMBRA. B. dental charting. C. Cariogram. D. Cochran review papers. Tufts University School of Dental Medicine peer-reviews all CE lessons for Inside Dentistry. Program Approval for Continuing Education Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. 7/18/1990 to 12/31/2012 applications and outcomes of using indicators of risk in caries management. J Dent Educ. 2001;65(10):1126-1132. 31. Clarkson J. Review of terminology, classifi - cations, and indices of developmental defects of enamel. Adv Dent Res. 1989;3(1):104-109. 32. Chavez AM, Rosenblatt A, Oliveira OF. Enamel defects and its relation to life course events in primary dentition in Brazilian chil- dren: A longitudinal study. Comm Dent Health. 2007;24(1):31-36. 33. Fejerskov O. Changing paradigms in con- cepts on dental caries: consequences for oral health care. Caries Res. 2004;38(3):182-191. 34. Burt B,Pai S.Does low birthweight increase the risk of caries? A systematic review. J Dent Educ. 2001;65(10):1024-1027. 35. Keyes P. The infectious and transmissible nature of experimental dental caries. Arch Oral Biol. 1960;1:304-320. 36. American Academy of Pediatric Dentistry. Reference Manual. 2009;31(6):40-43. 37. Reisine S,Douglass JM. Psychosocial and be- havioral issues in early childhood caries. Comm Dent Oral Epidem. 1998;26(Suppl 1):32-44. 38. Tinanoff N. Dental caries risk assess- ment and prevention. Dent Clin North Am. 1995;39(4):704-719. 39. Weinstein P, Harrison R, Benton T. Motivating mothers to prevent caries: confi rm- ing the benefi cial eff ect of counseling. J Am Dent Assoc. 2006;137(6):789-793. 40. Petersen PE, Lennon MA. Eff ective use of fluorides for the prevention of dental caries in the 21st century: the WHO approach. Comm Dent Oral Epidemiol. 2004; 32:319-21. 41. Marinho VC, Higgins JP, Logan S, Sheiham A. Fluoride toothpastes for preventing dental caries in children and adolescents (Cochrane review). In: The Cochrane Library, Issue 1, 2004. Chichester, UK: John Wiley & Sons Ltd. 42. Donly KJ, Stookey GK. Topical Fluoride Therapy. In: Primary Preventive Dentistry. 6th ed. Harris NO, Franklin Garcia-Godoy F, eds. 2004;241-283. Upper Saddle River: Pearson Prentice Hall. 43. Kaste LM, Selwitz R, Oldakowski RJ, et al. Coronal caries in the primary and permanent dentition of children and adolescents 1-17 years of age: United States, 1988-1991. J Dent Res. 1996;75(Spec Iss):631-641. 44. Edelstein BL. Dispelling the myth that 50 percent of US schoolchildren have never had a cavity. Public Health Rep. 1995;110:522-530. 45. Amudson C. 1999. Dental Director Health Partners. Minneapolis, Minn. 46. Thitasomakul S, Piwat S, Thearmontree A, et al. Risks for early childhood caries ana- lyzed by negative binomial models. J Dent Res 2009;88(2):137-141. 47. American Academy of Pediatrics. The Medical Home. Pediatrics. 2002;110:184-186. 48. Bratthall D, Petersson GH. Cariogram—a multifactorial risk assessment model for a mul- tifactorial disease. Comm Dent Oral Epidemiol. 2005;33:256-264. 50 INSIDE DENTISTRY | March 2010 | insidedentistry.net
Ana Lucia Seminario, DDS, PhD
Caries Risk Assessment for Children<br /> AEGIS Publications, LLC, provides 2 hours of FREE Continuing Education credit for this article for those who wish to document their continuing education eff orts. To participate in this CE lesson, please log on to www. InsidedentistryCE.com, where you may further review this lesson and test online. Log on now, take the CE quiz and, upon successful completion, print your certifi cate immediately! For more information, please call 877-4-AEGIS-1.